Prep for 5/7 WARDS 101 session

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Dear ICM2 students,

We have a special ICM2 session planned for tomorrow, Tuesday 5/7, from 3:30-5:20pm.  In addition to meeting with your mentor, we have invited 4th year students and Residents to join in small group discussions about transitioning to clerkships. 

Small Groups room assignments

During the small group discussion we will utilize two excellent videos.  The videos were produced by faculty, residents and third-year students with the motivation of providing you with tips, advice and encouragement to help you make the most of your clinical training.  We anticipate that we will not be able to show the full content of both videos, so we’ve posted them for everyone to review prior to (and after) the session as you like.  The videos can be viewed by logging in with your UW NetID at: https://courses.washington.edu/colleges/wards.  Bookmark the videos because you may want to refer back to the practical and specific advice at the beginning of your clerkship rotations.

Some groups will meet in the T5 classrooms and others will meet in South Campus Center.  Room assignments are attached and will be posted on the ICM2 website, outside the ICM office and at South Campus Center for your convenience.

MSTP students entering their research phase this summer are not required to attend this session.

Please let us know if you have any questions!

Thanks,

Julie

Julie S. Calcavecchia, M.Ed.
Director of Operations
UWSOM ICM & The Colleges
206-685-1202
jsmillan@u.washington.edu

ICM 2 for week of April 22

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We have small groups on Patients with Chronic Pain on Tuesday.  Pharm covered a bit more on this topic this year, and we decided to change the plan a bit. 

Small groups will run from 2:30 to no later than 3:45.  These will be similar to the groups with Rehab patients – about 24 students, patient and facilitator.  All the facilitators care for patients with chronic pain in their practice, and will demonstrate the chronic pain history before letting all of you ask questions. 

Please watch this video before your small group.

https://tegr.it/y/13zc6

We will email out room assignments next week.

ICM 2 for week of April 15

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Hi, everyone

Good luck with the exam Monday. 

Monday afternoon is the introduction to the pelvic exam in lecture.  Dr. Amies-Oelschlager is a fantastic lecturer and will give a great overview prior to the morning tutorials starting later in the week.  

Wednesday afternoon we have two Clerkship Skills small groups.  The first is on outpatient skills – how to adapt the comprehensive inpatient history, exam, OCP and writeup you have been doing in ICM to the clinic setting.  The second is on feedback – how to get more (and more meaningful) feedback from your residents and attendings next year, how to give good feedback, and how to improve in response to feedback.  Clerkship faculty have developed these sessions this year in response to third year students’ comments – we think they will make the transition to third year smoother.  The room assignments are also attached.

Article of the week:  Twelve tips for responding to feedback.  Even just reading the tips (and not the prose) was helpful to me. 

Remember to let the ICM office know if you are sick and cannot attend Wednesday’s small group.

Karen

3/5: required Error Disclosure small groups

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Dear ICM2 students,

As promised, we have posted the small group assignments for tomorrow’s (3/5) required inter-professional session about Error Disclosure.  Please note, that we will begin at 2:30pm in Hogness Auditorium for a presentation by Dr. Tom Gallagher.  We will then break into small groups.  Small group room assignments will be posted on the ICM2 website at: https://courses.washington.edu/icmweb/icm2-base/Med_students_web.xlsx

We will also have assignments posted outside Hogness, in the T-wing and at South Campus Center to help get you where you need to go. 

I’ve attached the health professions primer again (created by your local IHI chapter).

See you tomorrow for the big event!

Thanks,
Julie

Julie S. Calcavecchia, M.Ed.
Director of Operations
UWSOM ICM & The Colleges
206-685-1202
jsmillan@u.washington.edu

ICM – rest of quarter

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Hi, everyone

Hope the Hormones and Nutrients exam went OK today.  Thanks for your enthusiasm for our small group sessions over the past 3 weeks – I got comments from faculty, patients and simulated patients on how much they enjoyed working with you.  One of our UW Ukrainian interpreters was sick, so we got a last minute sub from an agency.  He clearly thought this session was crazy (peppered me with question after question about what we hoped to accomplish, he could just give a lecture, etc).  After the small group, though, he came to find me to say how much he’d enjoyed working with you, and that he’d be happy to come back next year. 

Tomorrow at 2:30 in T439:  Bending the Cost Curve: What can an MS3 do (really?).  Dr. Andrew White, the director of the UWMC hospitalist service, recently gave grand rounds on the actual cost of care at our hospital – not big picture, systems-level cost, but small picture, based on a patient recently hospitalized for sepsis.  A couple of third years came up and said "Man, why didn’t we get this last year?"  Now you will – Andrew has adapted his grand rounds and I’ve added a bunch more cases to give you a picture of how your team’s every day decisions will impact both the cost and quality of care.

Next Tuesday:  All Health Professions Error Disclosure Session.  Lecture in Hogness from 2:30-3:20, and REQUIRED small group in assigned rooms 3:30-5:20.  You will be with the interprofessional team of nursing, pharmacy and PA students you worked with at our last ICM interprofessional session in October, practicing how to disclose an error.  Most of your small groups will be facilitated by your college mentor – please let him or her know if you are sick and cannot make it. 

Article of the week:  http://www.nytimes.com/2012/04/04/health/doctor-panels-urge-fewer-routine-tests.html
An article from last spring about the "Choosing Wisely" campaign to educate patients and doctors about tests and treatments that may better be skipped.  Specialty societies are developing evidence based lists of 5 things related to their specialty that doctors should reconsider, and patients should question. 

The up-to-date lists are here, and are interesting reading:
http://www.choosingwisely.org/doctor-patient-lists/

Hope you can catch the last rays of sun this afternoon.
Karen McDonough

Feb 19, ICM 2 Required Small Groups

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Hello everyone,

We will be having the third of three required small groups focusing on communicating with patients.  Please check the link below for your specific group and room assignment for next Tuesday (2/19 2:30-4:30pm) and then review the relevant material for your assigned group.

Feb. 19th 2:30-4:20pm  Group/Topic/Room assignments:
https://courses.washington.edu/icmweb/icm2-base/Feb_19_Student_Room_Assign.xlsx

 

If you are assigned to a “Working with Interpreters” session (Interp 1, 2, etc):

In this small group, you’ll practice using an in-person and phone interpreter with a simulated patient (actually a 4th year student who speaks another language). 

For this session:

  • Watch this 5 minute podcast on the basics before you come:  https://tegr.it/y/yh75
  • Bring your phone
  • Bring a stethoscope – you will practice talking through an exam at one point. 

If you are assigned to a “Caring for Persons with Disabilities” session (Rehab 1, 2, etc.):

In this small group, you and a faculty facilitator will talk to one of three people with disabilities:

  • Aditya Ganapathiraju 

Bio: http://sci.washington.edu/info/newsletters/articles/08_spr_profile.asp

  • Todd Stabelfeldt

Bio: http://sci.washington.edu/info/newsletters/articles/07_spr_taking_charge.asp

  • Silas James

Bio: to follow

Before the session:

  • Review the bios – interesting, quick stories
  • Watch this 20 minute podcast, by Dr. Tom McNalley and Aditya Ganapathiraju, for background info and review:  https://tegr.it/y/ydxu
  • This session is also an opportunity for you to explore how your own views may create barriers to care.  The “Implicit Associations Test” is an online exercise that assesses your preferences, and can stimulate good discussions and thought.  Click on the link for background, then click on “demonstration website” then “take a demonstration test” then choose the test for disability.  I found it pretty interesting.   https://implicit.harvard.edu/implicit/backgroundinformation.html

 

If you are assigned to a “Patients with Barriers to Communication” session (Comm Barr 1, 2, etc.):

In ICM2, our patient interview coordinators seek out patients who will be easy to interview, without barriers like confusion, aphasia, or severe hearing impairment.  But next year, you will need new skills and tools to communicate with patients who have these problems, in the clinic and on the wards.

Dr. Tom McNalley and colleagues in Speech and Language Pathology put together a workshop on this topic for 4th years in the chronic care clerkship.  Their feedback was “This is really helpful – why wait until 4th year?”  So – here we are, trying it out in 2nd year so you have these skills to help you care for patients in July.

Before this session:

  • Please review this 14 minute podcast, aimed at defining and helping you recognize common barriers: https://tegr.it/y/yhgd

In the small group, senior speech pathologists will review a ‘toolkit’ to improve communication.  You will then practice using these tools with simulated patients (speech pathology students who have volunteered and trained to play patients).  

 

 

ICM Update (2-1-2013)

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Hi, everyone

Congrats on finishing this round of exams – I hope the promise of sun holds for tomorrow.

You should have just received an email from Julie Calcavecchia about the required small groups the next 3 Tuedays – if you are ill and unable to attend, please be sure to contact the ICM office at 685-1202.  These sessions will all involve either patients or standardized patients.  You will practice skills: working with an interpreter, using tools to improve communication with patients who have barriers such as aphasia or confusion, and interacting with and caring for someone with a disability.  

I will be doing the lecture on February 7 – Common Clinical Problems: Chest Pain.  Why chest pain, several months after CV?

  • To keep your knowledge a little bit fresher as boards draw closer
  • There was no room in autumn quarter
  • I have a fascinating patient case that will mean much more to you after the first part of this quarter.

Along those lines, if you’d like a little mental exercise, read the Article of the Week (PDF attached) – a clinical problem solving article from the New England Journal, titled Simple and Complex (also a patient presenting with chest pain). 

Have a great weekend.
Karen McDonough

Prep for required ICM2 sessions: Feb 5

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Hello everyone,

We will be having the first of three required small groups focusing on communicating with patients.  Please check the link below for your specific group and room assignment for next Tuesday (2/5 12:30-2:30pm) and then review the relevant material for your assigned group.

Feb. 5th 12:30-2:30pm
Group/Topic/Room assignments:
https://courses.washington.edu/icmweb/icm2-base/Feb_5_Student_Room_Assign.xlsx

If you are assigned to a “Working with Interpreters” session (Interp 1, 2, etc):

In this small group, you’ll practice using an in-person and phone interpreter with a simulated patient (actually a 4th year student who speaks another language). 

For this session:

  • Watch this 5 minute podcast on the basics before you come:  https://tegr.it/y/yh75
  • Bring your phone
  • Bring a stethoscope – you will practice talking through an exam at one point. 

If you are assigned to a “Caring for Persons with Disabilities” session (Rehab 1, 2, etc.):

In this small group, you and a faculty facilitator will talk to one of three people with disabilities:

  • Silas James
    Bio: to follow

Before the session:

  • Review the bios – interesting, quick stories
  • Watch this 20 minute podcast, by Dr. Tom McNalley and Aditya Ganapathiraju, for background info and review:  https://tegr.it/y/ydxu
  • This session is also an opportunity for you to explore how your own views may create barriers to care.  The “Implicit Associations Test” is an online exercise that assesses your preferences, and can stimulate good discussions and thought.  Click on the link for background, then click on “demonstration website” then “take a demonstration test” then choose the test for disability.  I found it pretty interesting.   https://implicit.harvard.edu/implicit/backgroundinformation.html

If you are assigned to a “Patients with Barriers to Communication” session (Comm Barr 1, 2, etc.):

In ICM2, our patient interview coordinators seek out patients who will be easy to interview, without barriers like confusion, aphasia, or severe hearing impairment.  But next year, you will need new skills and tools to communicate with patients who have these problems, in the clinic and on the wards.

Dr. Tom McNalley and colleagues in Speech and Language Pathology put together a workshop on this topic for 4th years in the chronic care clerkship.  Their feedback was “This is really helpful – why wait until 4th year?”  So – here we are, trying it out in 2nd year so you have these skills to help you care for patients in July.

Before this session:

  • Please review this 14 minute podcast, aimed at defining and helping you recognize common barriers: https://tegr.it/y/yhgd

In the small group, senior speech pathologists will review a ‘toolkit’ to improve communication.  You will then practice using these tools with simulated patients (speech pathology students who have volunteered and trained to play patients).  

 

Julie S. Calcavecchia, M.Ed.
Director of Operations
UWSOM ICM & The Colleges
206-685-1202
jsmillan@u.washington.edu

weekly update (1-11-2013)

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Hi, everyone – here is your ICM update!

Next week: Physician perspectives panel: Caring for patients with serious illness on Tuesday at 12:30.  Panelists are Dr. Hugh Foy, a trauma surgeon; Dr Elizabeth Kaplan, a general internist; and Dr. Terry Gernsheimer, a hematologist-oncologist.  Come to hear about the risks and rewards of caring for the seriously ill, and how these physicians care for themselves as they care for their patients. 

Simulation mornings begin at Northwest – contact me or Julie Calcavecchia with questions.

Nurse shadowing continues – be sure to review objectives, and bring an ‘observation guide’ when you go (available in ICM office, or download from link in the ‘reminder’ email.) 

Highlight of this week: for me, the amazing stories and advice from yesterday’s panelists.  Several spoke of the lasting impact of ‘goodbyes’ or condolences from their loved ones’ doctors, and the importance of keeping your humanity.

Article of the week: Communicating with seriously ill patients: Better words to say.

Enjoy the sun this weekend.

Karen McDonough